Intravenous Regional Anesthesia of the Upper Extremity in Children

ABSTRACT

One of the more perplexing problems facing the anesthesiologist is provision of adequate and safe anesthesia for young children who have suffered fractures or large lacerations of the hand and forearm. Most children who receive general anesthesia for major suturing or closed reduction of fractures require hospital admission for at least 8 to 24 hours. This communication is a report of a safe and effective method of handling these procedures on an outpatient basis.

A 7-year-old girl, weighing 20 kg (44 lb), was admitted to the operating room from the emergency room for full-thickness free skin graft to the left middle finger from which the tip had been avulsed. She had eaten a large evening meal shortly before the injury was sustained.

Though moderately apprehensive, she quickly agreed to "just one needle stick" for anesthesia. Two narrow inflatable tourniquets were placed on the upper arm. A 25-gauge scalp vein needle

First Page Preview

Figures

Tables

References

Letters

The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with
the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.

Return to: Intravenous Regional Anesthesia of the Upper Extremity in Children

This feature is provided as a courtesy. By using it you agree that that you are requesting the material solely for personal, non-commercial use, and that it is subject to the AMA's Terms of Use. The information provided in order to email this article will not be shared, sold, traded, exchanged, or rented. Please refer to The JAMA Network's Privacy Policy for additional information.

Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.